Individual provider Active NPI

Rosa M Bueno, DMD

  • Dentist
  • North Miami Beach, FL
National Provider Identifier
1972649218
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 17647 Issued in FL
Practice address
1400 NE Miami GDN Dr Ste 201
North Miami Beach, FL 33179-4844
Phone
(305) 498-4357
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN17647 FL
Dentist 122300000X DN 17647 FL Primary

Addresses

Primary practice location

1400 NE Miami GDN Dr Ste 201
North Miami Beach, FL 33179-4844

Mailing address

520 SW 21St Rd
Miami, FL 33129-1334
Phone (305) 498-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 17647FLMDDentist
DN17647FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosa Bueno DMD, PA Dentist CurrentSince Feb 14, 2021 Accepting new patients

Locations

1400 NE Miami Gardens Dr
Ste 201
North Miami Beach, FL 33179
Phone (305) 472-8366

Networks

  • HealthSun Health Plans Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1972649218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SW 21ST RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291334",
            "telephone_number": "305-498-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GDN DR STE 201",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794844",
            "telephone_number": "305-498-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENO",
        "first_name": "ROSA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17647",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.